Corneal fixation of intraocular lens

ABSTRACT

A method to fixate an intraocular lens by connecting it with the cornea or the limbus of the eye, using wedges that are implanted through the cornea or the limbus till they reach and attach and stabilize an implanted intraocular lens.

CROSS-REFERENCES TO RELATED APPLICATIONS

Not Applicable

STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

Not Applicable

NAME OF THE INVENTOR

Rakan Elias Jamil Alhourani

STATEMENT REGARDING PRIOR DISCLOSURES BY THE INVENTOR OR A JOINT INVENTOR

Not Applicable

FIELD OF THE INVENTION

The present invention is a new method that fixates an intraocular lens, by attaching it to the cornea or the limbus using corneal/limbal wedges.

BACKGROUND OF THE INVENTION

During any cataract surgery we may get a posterior capsular rupture complication, which will prevent us to implant an intraocular lens adequately in the bag or sometimes even in the sulcus, so we may implant it in the anterior chamber of the globe or bring the patient later to implant a scleral fixated intraocular lens or keep the eye with no intraocular lens. Some of complications in those situations are: for the scleral fixation the lens is not stable, and for anterior chamber intraocular lens the lens is not completely fixed so it moves and causes mechanical harm to the angle that causes glaucoma, and causes harm to the endothelium which eventually causes decompensation and its complications. This invention of corneal/limbal fixation using corneal/limbal wedges (Elias wedges) will stabilize and fixate an intraocular lens in a fixed distance between the lens and the cornea, which will prevent any mechanical harm or injury to the endothelium and further prevent the vitreous—if any—to contact and damage the endothelium, and this process will prevent any mechanical harm or destruction to the trabecular meshwork at the anterior chamber angle, which will decrease the risk of glaucoma for the anterior chamber intraocular lenses. In addition, this invention of corneal/limbal fixation will stabilize an intraocular lens almost 100 percent in relation to the cornea in all directions, by this we may expand the range of treating high refractive errors, high astigmatism and even irregular refractive errors of the cornea or the crystalline lens, using corneal/limbal fixed phakic intraocular lens. So this invention of corneal/limbal fixation process using corneal/limbal wedges (Elias wedges) can be used for phakic intraocular lenses, secondary intraocular lenses and pseudophakic intraocular lenses. Furthermore corneal/limbal wedges (Elias wedges) of this invention can be used to stabilize any device implanted in the anterior chamber such as tubes of glaucoma valves.

SUMMARY OF THE INVENTION

The present invention is a method that fixates and stabilizes an intraocular lens by using corneal/limbal wedges (Elias wedges), which extend from the cornea or the limbus and lodge into the haptics of an intraocular lens.

BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS

FIG. 1: Modified intraocular lens.

FIG. 2: The first part of the modified intraocular lens.

FIG. 3: The second part of the modified intraocular lens.

FIG. 4: Corneal/limbal wedge (Elias wedge).

FIG. 5: The first part—Corneal/limbal wedge's base.

FIG. 6: The second part—Corneal/limbal wedge's shaft.

FIG. 7: The third part—Corneal/limbal wedge's tip.

FIG. 8: Different designs and shapes of the corneal/limbal wedges.

FIG. 9: Spiral-shaped base, cylindrical shaft and male buckle member tip.

FIG. 10: Plate-shaped base, cylindrical shaft and male buckle member tip.

FIG. 11: Cylindrical base, cylindrical shaft and male buckle member tip.

FIG. 12: Spiral screw-shaped base, shaft and tip.

FIG. 13: The fastening system between the tip of the corneal/limbal wedge and the haptic of the modified intraocular lens.

FIG. 14: A male buckle member wedge's tip fastened into a female buckle member haptic of the lens.

FIG. 15: A screw wedge's tip with an external thread fastened into a haptic hole with an internal thread.

FIG. 16: Corneal/limbal fixation steps—fixation for each modified haptic at a time.

FIG. 17: Orienting the corneal/limbal wedge in the desired direction.

FIG. 18: Inserting the tip, and the shaft through the whole thickness of the cornea, or the limbus, till the spiral-shaped base just touch the anterior surface of the cornea or the limbus.

FIG. 19: Torque the spiral-shaped base till it entered completely inside the cornea or the limbus.

FIG. 20: Cross section for a modified anterior chamber intraocular lens fixated using corneal/limbal wedges.

FIG. 21: Cross section of corneal/limbal fixated intraocular lens.

DETAILED DESCRIPTION OF THE INVENTION

This new invention of corneal/limbal fixation of an intraocular lens has two components: the modified intraocular lens and the corneal/limbal wedge (Elias wedge).

First: the modified intraocular lens FIG. 1, which has an optic part and modified haptics (plate haptics or arms).

-   -   The optic part (The first part) FIG. 2 may use the same         materials and the same characteristics used in the ordinary         intraocular lenses.     -   The modified haptic, plate-haptic or arm (The second part) FIG.         3 uses the same materials and characteristics used in the         ordinary intraocular lenses but it is modified so it can receive         the tip of the corneal/limbal wedge (Elias wedge) that will         attach to it, so the modified haptic has a small hole that         correlates and fits the corneal/limbal wedge's tip. The hole in         the haptic could be a nut-shaped (has an internal thread) to fit         a screw tip FIG. 15 or a female buckle member (the catch end) to         fit a male buckle member tip (the hook end) FIG. 14, or any         receiving design to make a fastening system with the tip of the         corneal/limbal wedge.

The modified intraocular lens could have two, three or as many haptics as needed to stabilize the lens. The modified intraocular lens could be foldable or non-foldable lens, could be aphakic, phakic or pseudophakic intraocular lens, and could be angle-supported anterior chamber intraocular lens with receiving design for the corneal/limbal wedge.

Second: the corneal/limbal wedge (Elias wedge) FIG. 4, which has three parts: base, shaft and tip.

-   -   Corneal/limbal wedge's base FIG. 5, which lodges in the corneal         stroma or the limbus. It stabilizes the whole structure of the         wedge by preventing its movement, and at the same time it         induces or causes minimal or no stretching to the cornea or the         limbus. The base could be designed in many shapes such as spiral         screw shape, plate shape, wire shape or any shape that fulfills         stabilization of the wedge and that causes minimal stretching of         the adjacent structure.     -   Corneal/limbal wedge's shaft FIG. 6 could be designed in many         shapes: cylindrical shape, plate shape, or any shape that         strengthens the shaft and prevents its bending.     -   Corneal/limbal wedge's tip FIG. 7 could be designed in many         shapes to correlate and fit the receiving part of the modified         haptic, so together they will make a strong and stable fastening         system, such as a screw shape (external thread) or a male buckle         member shape (the hook end).

The implantation of the modified intraocular lens into the anterior chamber is done by using any of the ordinary processes for intraocular lens implantation in cataract surgery, after that we place the implanted lens in the needed position, then the corneal/limbal wedges (Elias wedges) are implanted as follows: Orient the corneal/limbal wedge in the desired direction FIG. 17, which is guided with the position of the implanted lens' haptic or could be set previously in determined places on the corneal/limbal surface, then insert the tip, and the shaft through the whole thickness of the cornea, or the limbus, till the spiral-shaped base just touch the anterior surface of the cornea or the limbus FIG. 18, then torque the spiral-shaped base till it entered completely inside the cornea or the limbus FIG. 19. In order to torque the spiral-shaped base, we may use a screwdriver and modify the wedge's base so it fits the screwdriver. If the base of the wedge isn't a spiral-shaped then we just push it inside the stroma of the cornea or the limbus. During or after the insertion of the corneal/limbal wedges one at a time in the desired places, the fastening or the lock system is connected between each corneal/limbal wedge and its correlated haptic, using any tight fastening systems such as a screw tip (external thread) fastened into a haptic hole with an internal thread FIG. 15 or as a male buckle member tip (the hook end) lodged into a female buckle member (the catch end) FIG. 14. When all implanted wedges are attached to their correlated haptics, we will get a fixated and stabilized intraocular lens FIG. 20 and FIG. 21.

The FIGS. 20 and 21 illustrate cross sections that show the connection between the modified intraocular lens' haptics and the tips of the corneal/limbal wedges with their bases lodged inside the corneal stroma. These figures illustrates the fixed distance between an intraocular lens and cornea which prevents any mechanical damage to the corneal endothelium, furthermore they illustrates the fixed orientation of the optic part of an intraocular lens that helps to manage many refractive problems accurately.

The corneal/limbal wedge could have different designs and shapes as shown in FIG. 8:

-   -   The two curved lines represent the cross section of the cornea         of the eye.     -   This is the position of the corneal/limbal wedge after         implanting or inserting it through the cornea or the limbus from         outside till the base of the wedge entirely lodges inside the         cornea or the limbus.

FIG. 9, FIG. 10, FIG. 11 and FIG. 12 illustrate possible designs and shapes of corneal/limbal wedge (Elias wedge). 

1. A method to fixate an intraocular lens by connecting it with the cornea of the eye, using wedge-style structures (wedges)—each wedge is composed of three parts: base, shaft and tip; wedge's base is plate in shape, wedge's shaft is cylinder in shape and wedge's tip is a male buckle member in shape (the hook end)—that are implanted and inserted through the cornea, till they reach and attach and fixate a modified intraocular lens that has an optic and three modified haptics—each haptic has a hole that fits wedge's tip—. Steps of fixation method are: to insert a foldable modified intraocular lens into the anterior chamber by injecting it through corneal incision using a cartilage, then to place the inserted intraocular lens in a desired position, then to insert and implant the wedges and connect them to the haptics of the inserted intraocular lens; each as follows: to orient a wedge toward a correlated haptic's hole, then to insert the tip and the shaft of this wedge through the whole thickness of the cornea, then to lodge the wedge's base inside the cornea, then to fasten the tip of this wedge into the correlated haptic.
 3. A modified intraocular lens, that has an optic and three modified haptics—each haptic has a hole that fits a tip of wedge-style structure (wedge)—, a wedge is composed of three parts: base, shaft and tip; wedge's base is plate in shape, wedge's shaft is cylinder in shape and wedge's tip is a male buckle member in shape (the hook end).
 4. A wedge-style structure (wedge) that is composed of three parts: base, shaft and tip—wedge's base is plate in shape, wedge's shaft is cylinder in shape and wedge's tip is a male buckle member in shape (the hook end)—; the base is implanted into and lodges inside the cornea of the eye and stabilize the whole wedge structure, the shaft connects the base with the tip.
 8. A fixation method of an intraocular lens as set forth in claim 1, but the wedges are inserted through and implanted into the limbus of the eye.
 9. A fixation method of an intraocular lens as set forth in claim 1, using a wedge that its base is spiral screw in shape, its shaft is cylinder in shape and its tip is a male buckle member in shape (the hook end).
 10. A fixation method of an intraocular lens as set forth in claim 1, using a wedge that its base is spiral screw in shape, its shaft is cylinder in shape and its tip is spiral screw in shape (external thread).
 11. A fixation method of an intraocular lens as set forth in claim 1, using a wedge that its base is plate in shape, its shaft is plate in shape and its tip is a male buckle member in shape (the hook end).
 12. A fixation method of an intraocular lens as set forth in claim 1, using a modified intraocular lens that has an optic and variable number of modified haptics—each haptic has a hole that fits wedge's tip—.
 13. A fixation method of an intraocular lens as set forth in claim 1, using a modified non-foldable intraocular lens by inserting it into the anterior chamber of the eye through an incision.
 14. A modified intraocular lens as set forth in claim 3, but with variable number of modified haptics.
 15. A wedge-style structure (wedge) as set forth in claim 4, but its base is spiral screw in shape.
 16. A wedge-style structure (wedge) as set forth in claim 4, but its base is spiral screw in shape, its shaft is cylinder in shape and its tip is spiral screw in shape (external thread).
 17. A wedge-style structure (wedge) as set forth in claim 4, but its shaft is plate in shape.
 18. A wedge-style structure (wedge) as set forth in claim 4, but its base is implanted into and lodges inside the limbus of the eye. 